Which symptom is NOT part of the DSM-5-TR Substance Use Disorder criteria?

• A. Craving
• B. Tolerance
• C. Hallucinations
• D. Withdrawal

Answer: (C)

Hallucinations are not included among the DSM-5-TR criteria used to diagnose Substance Use Disorder. The criteria focus on patterns of problematic use and its consequences, such as taking larger amounts than intended, persistent desire or unsuccessful efforts to cut down, spending a lot of time obtaining, using, or recovering, craving, giving up or reducing important activities, continued use despite social or interpersonal problems, use in hazardous situations, or continued use despite knowledge of problems. Tolerance and withdrawal are part of the criteria, reflecting the body's increasing adaptation and the need for more of the substance to achieve effect or the experience of negative effects when it’s not used. Hallucinations can occur with certain substances during intoxication or withdrawal, but they do not count toward the SUD diagnosis itself. If hallucinations occur, they may indicate a separate condition, such as a substance-specific intoxication/withdrawal syndrome or another mental health issue, rather than a DSM-5-TR SUD criterion.